Abstract
New data-driven technologies yield benefits and potentials, but also confront different agents and stakeholders with challenges in retaining control over their data. Our goal in this study is to arrive at a clear picture of what is meant by data sovereignty in such problem settings. To this end, we review 341 publications and analyze the frequency of different notions such as data sovereignty, digital sovereignty, and cyber sovereignty. We go on to map agents they concern, in which context they appear, and which values they allude to. While our sample reveals a considerable degree of divergence and an occasional lack of clarity about intended meanings of data sovereignty, we propose a conceptual grid to systematize different dimensions and connotations. Each of them relates in some way to meaningful control, ownership, and other claims to data articulated by a variety of agents ranging from individuals to countries. Data sovereignty alludes to a nuanced mixture of normative concepts such as inclusive deliberation and recognition of the fundamental rights of data subjects.
Introduction
In the age of digitization, dealing responsibly with data poses a dilemma: on the one hand, there is individually tangible and easily comprehensible added value of personal data processing by public and private-sector institutions. Examples include the personalization of products and services, the refinement of healthcare, availability of favorable insurance rates for individuals with low-risk profiles, and benefits made possible by the donation of sensitive personal data, e.g. in order to advance research and public health surveillance. On the other hand, there is the more or less abstract idea that individuals, specific groups, or communities should retain control over the handling of their data.
In order to address issues like these, recent years have seen an emergence of the notion of data sovereignty in debates on the development, implementation, and adjustment of new data-driven technologies and their infrastructures. Data is a timely subject matter, given that they mediate and steer extensive parts of our lifeworld. And sovereignty, understood, e.g. as the ability to issue authoritative claims, latching onto domestic institutional arrangements, international regimes, and the practices of other states (Krasner, 1988), appears as a fruitful category to apply to data. At the same time, it often remains implicit and contentious what exactly data sovereignty means, and also what, if anything, distinguishes it from other notions of sovereignty, e.g. cyber sovereignty, internet sovereignty, or “[t]he fight for digital sovereignty” and its entanglement with “analogue”, “national”, “socio-political” (Floridi, 2020) sovereignty.
Recently, excellent review articles on sovereignty and the digital have appeared (Baezner and Robin, 2018; Couture and Toupin, 2019). These reviews underline the rich and diverging ways in which sovereignty has been treated in current governance discourses, and provide illuminating narrative reviews of selected materials. According to these reviews, data sovereignty involves, or can be identified with, the control of data flows via national jurisdiction. However, as these studies themselves indicate, further systematic analyses are needed. Indeed, questions about generalizability loom once we consider tensions between definitions like these and other calls for data sovereignty that concern a broader variety of themes, including the authority of national governments over data stored in domestic or foreign clouds (Irion, 2012), but also research and surveillance vis-à-vis Indigenous data sovereignty (Kukutai and Taylor, 2016), and patient data sovereignty over health data (German Ethics Council, 2017).
Thus, there is a need to investigate systematically what data sovereignty is intended to encompass. Authors might be talking past each other or make vague policy demands if they call for or dispute data sovereignty without being explicit about which of the various potential connotations are intended. Such clarification would be helpful to researchers, policy makers, activists, and others who consider availing themselves of the notion and leveraging it towards their ends.
The present study seeks to fill this gap by providing an in-depth review of data sovereignty as it is used in academic journal publications. It is motivated by the observation that as illustrated by the foregoing examples, i.e. national data sovereignty in cloud computing, Indigenous data sovereignty, and patient data sovereignty, there is variance with regard to how data sovereignty is understood. In view of different connotations, claims, and objectives, the question arises what unites these different uses. Neither confronting pre-theoretical intuitions nor taking them for granted, our study seeks to provide data that could serve to evaluate these intuitions, to illuminate specifics, and to potentially uncover aspects of data sovereignty that might have escaped awareness. Academic literature per se is not in a privileged position to expound the notion, but presumably reflects understandings from different domains, and will be a reference point once disagreements on data sovereignty surface, e.g. in the political sphere.
While pursuing this project, we bracket our own account of the subject matter as published in previous papers (e.g. Hummel et al., 2018). Neither do we intend to construct, re-engineer, or ameliorate the notion. Instead, our objective is to map different understandings of data sovereignty, the agents it concerns, and the normative concepts it embeds, and to sharpen its contours by contrasting it with other notions of sovereignty.
Methods
Guided by frameworks on conducting and reporting on systematic reviews (Moher et al., 2009; Strech and Sofaer, 2012; Tranfield et al., 2003), we began by formulating a search strategy (Table 1 in the Supplemental Appendix) for addressing the review question in which meanings of data sovereignty are used or presupposed in journal publications. Besides the term “data sovereignty”, the strategy includes the three cognate notions that appeared relevant to us in light of cursory scoping searches: “digital sovereignty”, “cyber sovereignty”, and “virtual sovereignty”. The review process began in August 2018, and the cutoff was November 2019.
Notions and their number of occurrences in our sample.
The search strategy returned 705 publications. After removing duplicates (76) and excluding items due to missing full-text (27), 602 full-text publications were screened (Figure 1). A paper was included in our review if it mentioned a notion of sovereignty in connection with the digital, e.g. data, digitization, information and communications technology, or digital infrastructures. Due to the composition of our research team, only publications in English or German were included. We did not assess the quality of discussions or arguments, given our goal to map, rather than to evaluate, uses of the notions in the search strategy. A paper was excluded if it did not discuss sovereignty, or if sovereignty (or a specific kind thereof, e.g. state sovereignty, food sovereignty) was not raised in connection with the digital.

Screening process. Adapted from Moher et al. (2009).
Included papers were read and analyzed with a focus on the passages mentioning sovereignty. Our goal was to develop categories for comparisons of passages, ideally arriving at a scheme that is systematic while allowing for “exploration, discovery and development” (Tranfield et al., 2003: 215) and without presupposing a particular theory of data sovereignty. To this end, we proceeded inductively by observing the data and across several iterations capturing similarities and differences that caught our attention. In this process, a set of five questions emerged on which passages differed:
Notion: which notion of sovereignty was mentioned? Agents: which entities are involved in ascriptions of sovereignty in the respective passage? Contexts: what is the broader domain and/or topic that is the background of a mention of sovereignty? Values: which concepts from normative theorizing (e.g. ethics, legal theory) are mentioned in connection with sovereignty? Content: how was the notion used: descriptively, as highlighting a challenge, or as a target to attain?
While comparing the presuppositions of passages on these five questions, we developed an inductive conceptual scheme (Table 2 in the Supplemental Appendix), which we refined through several iterations of adding, merging, or splitting categories that capture how these five questions were treated in a passage. In the refinement process, new passages were examined in light of intermediate categories that had emerged while addressing the questions for previous passages. Passages were categorized by means of the qualitative content analysis software Atlas.Ti. Amongst the notions, we distinguished data, cyber, digital, internet sovereignty, and others. Regarding questions 2–5, the scheme captures a range of 4–16 categories per question. These categories and their definitions are provided in Table 2 in the Supplemental Appendix.
Heat map of the c-coefficients (co-occurrences) between notions and agents. The color coding reflects the c-coefficient.
In the following, we use italics to refer to concepts figuring in the questions and our inductive scheme. We use underlining to highlight particular words indicating what we are illustrating by means of a quoted passage. As one example, consider the following passage: To protect the
In this passage, the notion is data sovereignty. Given its focus on the specifics of the German eHC system, the passage was coded with two context classifiers: clinical practice and IT architecture. The agent mentioned is the patient, and the values are control and power as well as privacy. With regards to the content, data sovereignty is presented as a target, and the passage provides a management strategy to attain it.
Some of the concepts in the categories (especially the values, but also agents like citizen) hardly admit of uncontested, theory-neutral necessary and sufficient conditions for their application. Moreover, depending on how one makes them precise, some categories can overlap (e.g. amongst the values: autonomy, control and power, and privacy). We addressed both challenges as follows: a passage was coded as pertaining to the category if the category was mentioned explicitly (e.g. “privacy”, “control”), or if implicit or explicit references to components of the definitions outlined in Table 2 in the Supplemental Appendix were made. Moreover, as the example shows, passages could be coded with more than one category per question. For the vast majority of passages, at least one category per question could be assigned.
At the conclusion of the coding process, 1433 text passages across the 341 included publications were coded. We then used Atlas.Ti’s analysis tools to compile the c-coefficients for category pairs from our inductive scheme. The c-coefficient is a measure for the co-occurrences (i.e. being mentioned in the same passage) between two categories (or “codes” in Atlas.Ti terminology):
Results
In the following, we structure our presentation of the results on how data sovereignty is used in our sample along the five questions just outlined. In order to illuminate data sovereignty, we also consider the other notions of sovereignty and how they contrast with data sovereignty. As will become clear, a range of different approaches and understandings of data sovereignty can be distinguished.
Notions
Table 1 presents the frequency of the different notions in our sample. Tables 2 to 4 provide co-occurrences between the notions and the categories in our inductive scheme. Data sovereignty has the highest frequency (680 or 45.6% of 1492 mentions). This is a noteworthy result about the salience of the notion, given that data sovereignty was not privileged in the search strategy relative to digital, cyber, and virtual sovereignty (Table 1 in the Supplemental Appendix). The category Other comprises further notions of sovereignty. Specifically, the five most frequent items in this category are sovereignty in general, i.e. without further specification (53), national or country sovereignty (49), genomic sovereignty (46), Indigenous or tribal sovereignty (35), and technological sovereignty (27). Virtual sovereignty was part of the search strategy, but appeared in only eight passages. Given this low number, we did not treat it separately, but included it amongst Other. In contrast, internet sovereignty was not explicitly part of the search strategy, but still appeared in 110 passages, which is why we captured it as an extra notion in our analysis.
Heat map of the c-coefficients (co-occurrences) between notions and values. The color coding reflects the c-coefficient.
Tables 2 to 4 provide an overview of how these notions co-occur with the categories of our conceptual scheme, i.e. the contents, agents, contexts, and values (all of these concepts as per the definitions provided in Table 3). Co-occurrence gives some indication on which concepts tend to be relevant when the respective notion is invoked. However, co-occurrence by itself does not indicate how exactly the notion relates to these co-occurring concepts. For example, co-occurrence between data sovereignty and the agent “governmental organization” is neutral on whether the latter is (supposed to be) data sovereign or whether it determines the data sovereignty of another agent. In order to better understand the specific connections in the co-occurrences, we take a closer look at their concrete modes of relatedness. In this process, we focus on some particularly salient co-occurrences, without claiming that categories co-occurring less frequently with data sovereignty have no interesting conceptual relation to this notion.
Heat map of the c-coefficients (co-occurrences) between notions and contexts. The color coding reflects the c-coefficient.
Content
As outlined in the “Methods” section and Table 2 in the Supplemental Appendix, we distinguished three kinds of content in the reviewed passages: descriptions of what sovereignty consists in, challenges to sovereignty, and management strategies for safeguarding and maintaining sovereignty. While the data does contain paradigmatic examples for these contents, it turned out that in other places these contents could not always be disentangled neatly, and a passage could be understood, e.g. as outlining a challenge, but also as implicitly providing a description. For this reason, we refrained from counting (and comparing the counts of) instances of these three contents. In order to address the question of our review, we now provide an overview on paradigmatic examples of these contents for data sovereignty.
To begin with, we turn to descriptions of what data sovereignty consists in, i.e. understandings of what its constitutive conditions are. Several different, sometimes mutually compatible claims can be distinguished.
Given these understandings of what data sovereignty is, the reviewed publications outline a range of challenges. At least the following kinds of mutually connected issues are salient: constitutive, technical, epistemic, and legal challenges.
Finally, we turn to management strategies, i.e. ways in which data sovereignty can be implemented and realized. These, too, can be stratified into constitutive, technical, epistemic, and legal proposals. Speaking to their interconnectedness, data sovereignty is portrayed as having multiple realizing conditions across several governance areas: “what data sovereignty should mean in practice […] can of course only be reached by a
Agents
Table 2 presents the agents that co-occur with different notions of sovereignty. Data sovereignty has noticeable co-occurrences with Indigenous population (176 co-occurrences, c-coefficient 0.24), user/consumer (105, 0.14), and private-sector organizations (104, 0.14). The picture is more one-sided for the other notions, where countries is the most salient agent for cyber (169, 0.28), internet (91, 0.16), and digital sovereignty (109, 0.18).
Most often, these agents are portrayed as the putative sovereign, e.g. when the respective passages concern “
Contexts
The contexts in which the different notions of sovereignty appear are provided in Table 3. Data sovereignty shows high co-occurrence levels with the contexts IT architecture (215, 0.26), legislation (173, 0.2), and research (115, 0.13). In contrast, cyber sovereignty often co-occurs with defense (60, 0.21), international relations (41, 0.14), legislation (60, 0.11), and surveillance (30, 0.11); digital sovereignty with IT architecture (61, 0.13) and defense (42, 0.15); and internet sovereignty with international relations (24, 0.12) and legislation (42, 0.09). Again, we provide illustrations for salient contexts of data sovereignty:
Values
As shown in Table 4, the notions other, digital, and internet sovereignty display high co-occurrence values only for control and power (0.17, 0.12, and 0.1). Cyber sovereignty co-occurs with control and power (137, 0.2) and with security and nonmaleficence (41, 0.11). Data sovereignty co-occurs with control and power (217, 0.2), privacy (108, 0.15), and further normative concepts like deliberation and inclusion (106, 0.14), security and nonmaleficence (92, 0.12), and ownership (80, 0.11). A closer look reveals that data sovereignty both advances these values and results from enacting them. This suggests that data sovereignty as used in the sample cannot be identified straightforwardly with brute force or unilateral power, but concerns more nuanced and socially embedded claims.
Discussion
Data sovereignty is a rich, multidimensional notion with a broad range of potential connotations. Table 5 draws together the central conceptual dimensions of data sovereignty, illustrates possible ambiguities, provides a set of candidate meanings, and facilitates comparison between different uses even if they differ in specifics. We do not claim completeness and instead intend Table 5 to be part of an open-ended conceptual grid that can and should be complemented by further aspects.
Open-ended conceptual grid for comparing understandings of data sovereignty (one or more elements per row, no presumed vertical interdependence between elements of one column).
Some connotations tend to re-appear across instances of use. Data sovereignty typically relates in some way to meaningful control, ownership, and other claims to data or data infrastructures. The most relevant agents are Indigenous populations, consumers, and countries; the contexts IT architecture, legislation, and research; and the values control and power, deliberation and inclusion, and privacy (each of them as defined in the Appendix, Table 2). Moreover, our analysis allows for some contrastive observations of data sovereignty relative to other notions. The range of agents that are mentioned in connection with data sovereignty appears broader than for cyber, digital, and internet sovereignty, which primarily pertain to countries. While there is some overlap in the contexts of different notions of sovereignty—specifically legislation and IT architecture—data sovereignty has a stronger co-occurrence with societal discourses and advocacy, understood as the shaping of public deliberation, civil society, and collective will-formation. All notions co-occur with a broad range of values.
This being said, one principled issue is that authors often remain implicit or even elusive about the specifics of their understanding of data sovereignty and how it relates to alternative conceptions. This is precisely where the conceptual grid in Table 5 can offer potential benefits. For example, we have seen a number of instances where challenges or management strategies for data sovereignty have been presented without a clear elucidation of how the latter is actually understood. Recall the idea that data sovereignty in cloud computing is challenged by uncertainty about the physical location of data and the resulting legal uncertainty (e.g. Balouek-Thomert et al., 2015). Apart from the related claim that national data infrastructures could help to strengthen data sovereignty, these suggestions do not illuminate what data sovereignty amounts to. In such instances, there is a mismatch between the purported desirability of data sovereignty and the limited extent to which a positive, informative characterization is provided. We can only speculate as to why authors sometimes do not make such presuppositions explicit. There might be perceived losses of control over data that motivate and elevate the importance of speaking in terms of data sovereignty as a proxy for such control, while additional or alternative connotations escape attention. Data sovereignty might be seen as a term whose meaning is obvious and self-explanatory, and awareness of alternative meanings is lacking. It is not unusual for emerging concepts that there are different ways of making them precise. Implicit or explicit contention, controversy, and negotiation processes about what data sovereignty means and should mean suggest that discussants seek to leverage the notion towards a variety of different ends. Yet, disputants might be talking past each other or make vague policy demands if they deploy the concept without being explicit about which of the various potential connotations are intended, and how the respective claim is supported.
Such lack of clarity raises several further issues. It leaves us in the dark not only about the intentions of the authors, but also complicates reflection on the nature of data sovereignty. For example, some authors understand data sovereignty as a right, whereas others think that it is an ability. This distinction seems to mark an important difference, since it picks up on commitments regarding whether data sovereignty is something that is already there or possessed and thus motivates certain demands, or whether it is more like a telos, something towards which we should aim. Of course, these options are not strict alternatives, and there is room for mutual compatibility. For example, someone can in principle have a right to be equipped with certain abilities. And it is also possible to have the ability to claim, articulate, and insist on the enforcement of certain rights. Yet, despite not being strict alternatives, the outlined options indicate different emphases on the order of priority between data sovereignty and the concepts figuring in descriptions of it.
As another example, consider the relation between data sovereignty and autonomy. On the face of it, there are certain parallels between both concepts. They appear to involve a particular kind of freedom from external interferences, and positive freedom to proceed as one pleases. However, if there is a connection or analogy between sovereignty and autonomy, very few passages make it explicit. Consider at least two questions one might have. First, suppose that being in control of the flow of one’s data is sufficient for data sovereignty, and that I exercise control over my data by proceeding to share it with an internet service provider. Have I acted autonomously? It depends. For example, Dworkin (1976) understands autonomy as freedom from external constraints plus authenticity, i.e. affirmation of a choice based on higher-order preferences. In another influential definition, Beauchamp and Childress (Beauchamp and Childress, 2013: 104–105) require intentionality, i.e. correspondence to the agent’s conception of the act, understanding of what one is about to do, and lack of controlling influences that determine her action. Now, note that mere control does not by itself satisfy conditions such as authenticity or understanding. This allows for at least two interpretations. Either autonomy might be taken to be a stronger, more demanding notion than data sovereignty, or the kind of control that is necessary for data sovereignty is not merely control, but a particularly meaningful kind of control, e.g. one with epistemic and social presuppositions, such as awareness of the potential scope of data processing applications and entitlements to control resulting from recognition of one’s fundamental rights. Our results provide resources to pursue either of these avenues. There can clearly be overlap between data sovereignty and autonomy, but depending on how one makes either precise, they can also significantly come apart.
Such open questions about the nature of data sovereignty are entangled with a set of more practical issues. To begin with, they complicate the assessment of concrete proposals. For example, if descriptively, data sovereignty is understood as a right, then management strategies focusing on mere technical designs alone will probably not be enough to advance it, fall short of the position’s own standards, and be discredited as technological solutionism (Mozorov, 2013): a putative technical fix to a problem that demands much more. Along similar lines, if data sovereignty is understood as an issue in the context of legislation that entitles subjects to have their data stored in certain geolocations, then presumably additional steps are required to align with the rich set of connotations of Indigenous data sovereignty concerning culture, inclusion, integrity, and identity.
Another practical issue arising from lack of clarity about intended meaning and/or the nature of data sovereignty is that it obscures the significance of negotiation processes. One reason for caution with taking claims to data sovereignty at face value is that several agents can instantiate data sovereignty, or articulate a reasonable claim to data sovereignty. While the surveyed publications occasionally mention that there can be incompatibilities and tradeoffs, e.g. between the data sovereignty of individuals and the data sovereignty of a population, society, or country, many authors seem to abstract from or even neglect this complication. When expounding and assessing positions, one crucial question becomes: who amongst these prima facie data sovereigns shall take precedence? And when we demand that we need to safeguard, comply with, or respect data sovereignty, which agent is the focal point of this normative claim?
Finally, lack of clarity about the nature of data sovereignty complicates the pragmatic question of what it takes to attain it and which concrete mechanisms for implementation are needed. Related to this issue, we might seek further clarification on who is responsible to ensure data sovereignty. For each of the agents addressed, what would they have to do in order to foster it? Is it primarily a responsibility of the state to issue certain laws? Does the private sector carry responsibility through self-commitment? Is it the users who need to educate themselves and adapt consumption behavior accordingly? Who adjudicates in cases of conflicts between claims from different putative data sovereigns, e.g. when national data sovereignty undercuts individual citizen data sovereignty, or vice versa? References to data sovereignty alone can seem devoid of substantive content on how to handle such conflicts. Again, authors occasionally touch upon these issues, but systematic explorations are surprisingly rare, and many times these questions remain unaddressed.
In light of these issues, Table 5 thus addresses a need by mapping different understandings and connotations, and could pave the way to enhanced conceptual and argumentative clarity. While we do not intend to evaluate diverging understandings of data sovereignty or to argue for certain practical implications in the political sphere on the basis of our review, our results suggest that care should be taken to disambiguate between the various candidate meanings, and to spell out what exactly data sovereignty is supposed to involve and require in a given context. Besides offering a nonexhaustive frame that serves an urgent need to systematize mentions of data sovereignty, Table 5 can facilitate subsequent assessment, negotiation, and implementation processes.
A further critical point for discussion and exploration is that parts of the debate are oddly compartmentalized. In numerous publications, commentators on Indigenous data sovereignty unfold a rich and fascinating notion that stands out for a number of reasons. First, it ties data sovereignty to fundamental features of the agent, such as her culture and identity, and thus marks a particularly intimate relationship between exercising control over data and the integrity of the data sovereign. Second, Indigenous data sovereignty is portrayed as fully continuous with the established sovereignty of the respective Indigenous Nation. Third, Indigenous data sovereignty involves control over data, but also requires involvement in deliberation on data governance and societal discourses on how to harness data. Fourth, proponents of the notion harness its emancipatory aspects and leverage it towards criticizing asymmetries of power, established structures, and historically manifested injustices. All these points are occasionally touched upon or implicitly alluded to by other discussions of data sovereignty, too, but Indigenous data sovereignty raises them consistently. Surprisingly, however, despite these rich and innovative aspects of Indigenous data sovereignty, other discussants acknowledge it only rarely. For example, the reviewed publications from the German discourse do not mention it even in passing.
As outlined in the “Introduction and Methods” section, our study has limitations. First, its scope is limited insofar as it focuses on academic writing. It would be interesting to extend similar analyses of data sovereignty to other fields, such as journalism and social media content. Second, no quality assessment of passages mentioning data sovereignty was made, although our focus on academic writing means that peer-review processes have played some role in the returned search results that were screened for inclusion and exclusion. Third, our study takes no stance on how to advance data sovereignty in practice. Our results describe strategies mentioned in the literature, but we do not assess the appropriateness of these strategies. Fourth, we carved up the data inductively and without applying an antecedently set theory to the material. While we find this approach appealing and are convinced of the soundness of the inductive scheme, we do not rule out that there might be other, similarly acceptable ways to make sense of the data. Fifth, the scheme refers to concepts that are themselves broad and/or not used uniformly across the literature. To contain this limitation as far as possible, we deployed general working definitions (described under “Methods” section and Table 2 in the Supplemental Appendix) that we think are reasonably general and precise.
Conclusion
We have reviewed how the notion of data sovereignty is used in academic writing. The notion turned out to exhibit a variety of different candidate meanings, and we have presented a conceptual grid to systematize them. The candidate meanings tend to relate in some way to meaningful control, ownership, and other claims in data. Data sovereignty can apply to a range of agents across the spectrum from individual consumers to entire societies and countries, sometimes yielding conflicting claims to data sovereignty across these levels. It primarily occurs in the context of debates around the design of IT architecture and/or laws applicable to data processing, but a number of other contexts as well. It tends to address a nuanced mixture of values: typically, it concerns control and power over data, yet the kind of power in question is not brute an arbitrary power, but often ties in with considerations related to inclusive deliberation and fundamental rights of data subjects. Finally, distinguishing more sharply and explicitly between descriptions of data sovereignty, challenges to data sovereignty, and management strategies to overcome them could ameliorate discourses and negotiation processes surrounding the governance of the digital.
Supplemental Material
sj-pdf-1-bds-10.1177_2053951720982012 - Supplemental material for Data sovereignty: A review
Supplemental material, sj-pdf-1-bds-10.1177_2053951720982012 for Data sovereignty: A review by Patrik Hummel, Matthias Braun, Max Tretter and Peter Dabrock in Big Data & Society
Supplemental Material
sj-pdf-2-bds-10.1177_2053951720982012 - Supplemental material for Data sovereignty: A review
Supplemental material, sj-pdf-2-bds-10.1177_2053951720982012 for Data sovereignty: A review by Patrik Hummel, Matthias Braun, Max Tretter and Peter Dabrock in Big Data & Society
Footnotes
Acknowledgements
The authors are grateful to Serena Bischoff, Simone Donner, Sebastian Hummel, David Samhammer, and to three anonymous reviewers for their helpful comments and suggestions.
Declaration of conflicting interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The authors are grateful for funding from the German Federal Ministry of Health (Project DABIGO; ZMV/1 – 2517 FSB 013) and the German Ministry of Education and Research (Project CwiC; 01GP1905B). The funders played no role in planning, designing, and conducting the study.
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References
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